chr21-46112203-G-A

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 0P and 2B. BP4_Moderate

The NM_001849.4(COL6A2):​c.340G>A​(p.Asp114Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000434 in 1,612,784 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.000013 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000034 ( 0 hom. )

Consequence

COL6A2
NM_001849.4 missense

Scores

3
16

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: 2.09
Variant links:
Genes affected
COL6A2 (HGNC:2212): (collagen type VI alpha 2 chain) This gene encodes one of the three alpha chains of type VI collagen, a beaded filament collagen found in most connective tissues. The product of this gene contains several domains similar to von Willebrand Factor type A domains. These domains have been shown to bind extracellular matrix proteins, an interaction that explains the importance of this collagen in organizing matrix components. Mutations in this gene are associated with Bethlem myopathy and Ullrich scleroatonic muscular dystrophy. Three transcript variants have been identified for this gene. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.20343837).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
COL6A2NM_001849.4 linkuse as main transcriptc.340G>A p.Asp114Asn missense_variant 3/28 ENST00000300527.9 NP_001840.3
COL6A2NM_058174.3 linkuse as main transcriptc.340G>A p.Asp114Asn missense_variant 3/28 ENST00000397763.6 NP_478054.2
COL6A2NM_058175.3 linkuse as main transcriptc.340G>A p.Asp114Asn missense_variant 3/28 NP_478055.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
COL6A2ENST00000300527.9 linkuse as main transcriptc.340G>A p.Asp114Asn missense_variant 3/281 NM_001849.4 ENSP00000300527 P1P12110-1
COL6A2ENST00000397763.6 linkuse as main transcriptc.340G>A p.Asp114Asn missense_variant 3/285 NM_058174.3 ENSP00000380870 P12110-2
COL6A2ENST00000409416.6 linkuse as main transcriptc.340G>A p.Asp114Asn missense_variant 2/275 ENSP00000387115 P12110-3
COL6A2ENST00000436769.5 linkuse as main transcriptc.340G>A p.Asp114Asn missense_variant 3/32 ENSP00000390418

Frequencies

GnomAD3 genomes
AF:
0.0000131
AC:
2
AN:
152170
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000483
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.00000800
AC:
2
AN:
250094
Hom.:
0
AF XY:
0.0000148
AC XY:
2
AN XY:
135536
show subpopulations
Gnomad AFR exome
AF:
0.0000620
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000327
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000342
AC:
5
AN:
1460614
Hom.:
0
Cov.:
33
AF XY:
0.00000275
AC XY:
2
AN XY:
726600
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000224
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
8.99e-7
Gnomad4 OTH exome
AF:
0.0000166
GnomAD4 genome
AF:
0.0000131
AC:
2
AN:
152170
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
74334
show subpopulations
Gnomad4 AFR
AF:
0.0000483
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000712
Hom.:
0
Bravo
AF:
0.0000151

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Bethlem myopathy 1A Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2017In summary, this variant is a novel missense change that is not predicted to affect protein function. There is no indication that it causes disease, but the available evidence is currently insufficient to prove that conclusively. Therefore, it has been classified as a Variant of Uncertain Significance. Algorithms developed to predict the effect of missense changes on protein structure and function (SIFT, PolyPhen-2, Align-GVGD) all suggest that this variant is likely to be tolerated, but these predictions have not been confirmed by published functional studies. This variant is not present in population databases (ExAC no frequency) and has not been reported in the literature in individuals with a COL6A2-related disease. This sequence change replaces aspartic acid with asparagine at codon 114 of the COL6A2 protein (p.Asp114Asn). The aspartic acid residue is weakly conserved and there is a small physicochemical difference between aspartic acid and asparagine. -
COL6A2-related disorder Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesAug 08, 2023The COL6A2 c.340G>A variant is predicted to result in the amino acid substitution p.Asp114Asn. To our knowledge, this variant has not been reported in the literature. This variant is reported in 0.0062% of alleles in individuals of African descent in gnomAD (http://gnomad.broadinstitute.org/variant/21-47532117-G-A). At this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.10
BayesDel_addAF
Benign
-0.23
T
BayesDel_noAF
Benign
-0.39
CADD
Benign
22
DANN
Uncertain
0.98
DEOGEN2
Benign
0.21
T;.;T;.;.
Eigen
Benign
-0.42
Eigen_PC
Benign
-0.21
FATHMM_MKL
Uncertain
0.82
D
LIST_S2
Benign
0.84
T;T;T;.;T
M_CAP
Benign
0.046
D
MetaRNN
Benign
0.20
T;T;T;T;T
MetaSVM
Benign
-0.89
T
MutationAssessor
Benign
0.79
N;N;.;N;N
MutationTaster
Benign
0.56
D;D;D;D;D
PrimateAI
Uncertain
0.63
T
PROVEAN
Benign
-1.1
N;N;N;N;N
REVEL
Benign
0.17
Sift
Benign
0.33
T;T;T;T;T
Sift4G
Benign
0.23
T;T;T;T;T
Polyphen
0.066
B;B;.;B;B
Vest4
0.40
MutPred
0.46
Loss of phosphorylation at S113 (P = 0.1109);Loss of phosphorylation at S113 (P = 0.1109);Loss of phosphorylation at S113 (P = 0.1109);Loss of phosphorylation at S113 (P = 0.1109);Loss of phosphorylation at S113 (P = 0.1109);
MVP
0.83
MPC
0.13
ClinPred
0.060
T
GERP RS
3.4
Varity_R
0.098
gMVP
0.41

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs969934621; hg19: chr21-47532117; COSMIC: COSV56014478; COSMIC: COSV56014478; API